| Tracey L. Brennan, M.d., Pllc | |
|
294 Grand Ave Saratoga Springs NY 12866-5944 | |
| (518) 583-0000 | |
| Not Available |
| Full Name | Tracey L. Brennan, M.d., Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 294 Grand Ave, Saratoga Springs, New York |
| Authorized Official Name and Position | Tracey L. Brennan (OWNER) |
| Authorized Official Contact | 5185830000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey L. Brennan, M.d., Pllc 294 Grand Ave Saratoga Springs NY 12866-5944 Ph: (518) 583-0000 | Tracey L. Brennan, M.d., Pllc 294 Grand Ave Saratoga Springs NY 12866-5944 Ph: (518) 583-0000 |
| NPI Number | 1528283132 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2163464280 |
|---|---|
| Medicare Enrollment ID | O20050527000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528283132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tracey L Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891792503 PECOS PAC ID: 3870535990 Enrollment ID: I20050531000708 |
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